HomeMy WebLinkAbout0152133 - Building (roof) Itia0 CITY OF OSHKOSH No 152133
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1544 SANDERS ST Owner LEROY E/ARLEEN A GRANCORBITZ R TRUST
Create Date 09/05/2012
Designer
Contractor AMERICAN DREAM HOME IMPROVEMENT INC
Inspector Nicole Krahn
Category 041 -Residential Roofing
Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
I
Zoning R-1 Class of Const:
Size
Unfinished/Basement — Sq.Ft. Rooms Height 9 Ft. ❑ Projection
Finished/Living _ Sq.Ft. Bedrooms
Stories Canopies _
Garage Sq.Ft. Baths
Signs
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units p
#Structures p
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND ATTACHED GARAGE, INSTALL SIDING AND NEW
of Work GUTTERS AND DOWNSPOUTS,NO STRUCTURAL CHANGES
L__
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $14,060.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication
3 '
� $0.00
Issued By:
Date 09/05/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1306930100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur any necessary approvals before starting such activity.
I have read and un.la tand : afore ention- , formation.
Signature
_4.`410...s • Date 9 —�,. j 2J
=or Owner
Address 150 S SUNNY SLOPE RD BROOKFIELD WI 53005 - 5714 Telephone Number (262)797-0900 EXT
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084 Of 1 KOf—
TE
Roofing & Siding Permit Application ON " WATER
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [l
JOB ADDRESS /J`-1 5 AALJ`,ej'
OWNER UGC-..0 a;/ &I€4/ulCO5 /Tz
CONTRACTOR tr[t!,fl cT-4._ -- (.4[�✓
I am the: ❑ Owner OR ❑ Contractor
USE CATEGORY
Cif Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
jil Tear off and replace existing roofing on121 house,til garage
❑Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to❑Hail Damage ❑Other
SIDING
❑Install siding on lii1 house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric–Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR 0 Separate Elect Permit will be requested.
2) �1 Electric–Not Applicable because: J Blocks previously installed. ❑No outside lights. ❑Other
nstall new or❑Replace gutters
Install new or❑Replace downspouts
Other related work being done: (please note)
1 911
Value of the job $ (include fair market price for labor even ifyou are not paying for labor) 03/02
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